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Sponsor: Johns Hopkins University
Conditions: Violence, Domestic, HIV, Stigma, Social, Engagement, Patient, Medication Adherence
Interventions: 1MoreStep, 1MoreStepControl
Countries: United States
This study tests a 5-session cognitive behavioral approach program (herein referred to as the 1MoreStep intervention) to train Black women living with HIV (BWLWHI) and exposed to intimate partner violence (IPV) in the past 2 years (hereafter, BWLWHI) in: 1) cognitive and behavioral skills to access internal and external sources of strength (e.g. self-reliance, safety net); safety strategies, knowledge about Undetectable = Untransmissible (U=U) and HIV care; and reduce internalized and anticipated stigma; 2) communication skills to respond to enacted HIV and IPV stigma and enlist social support; and 3) addressing structural barriers to HIV care engagement with an HIV navigator component. The intervention is informed by the HIV-Stigma Framework and a resilient-reintegration model which views women as active participants in responding to IPV and managing life with HIV. Aim 1: Examine preliminary efficacy of the 1MoreStep intervention on: (a) IPV safety strategies (informal and formal resources, safety planning, and placating strategies at baseline, 3-month and 6-month follow-up visits); and (b) HIV care engagement (medical record confirmed visit with an HIV care provider, antiretroviral therapy (ART) prescription, medication adherence, and viral load status during 3-month and 6-month follow-up visits). Aim 2: Examine the acceptability and feasibility of the 1MoreStep intervention operationalized by (a) quantitative measures: session attendance and fidelity to key intervention components and (b) qualitative interviews to assess: program fit, facilitators and barriers to participation, and using 1MoreStep intervention skills.
Sex: FEMALE
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * Cis-gender female * Black or African American * ≥ Age 18 * Living with HIV * ≤ 1 HIV care visit in previous 12 months OR virally unsuppressed (\>50 copies/mL) OR at high risk for poor HIV care adherence (PHQ ≥ 3, Generalized Anxiety Disorder (GAD) ≥ 3, active substance use) * IPV within the previous 2 years * Ability to attend in-person for up to 8 sessions * Do not report immediate severe danger from their partner * English fluency Exclusion Criteria: * Not a Cis-gender female * Not Black or African American * ≤ Age17 or younger * Not living with HIV * ≥ 2 HIV care visits in previous 12 months * No IPV within the previous 2 years * Inability to attend in-person for up to 8 sessions * Reports immediate severe danger from their partner * Not fluent in English
- Baltimore, Maryland, United States